Individual
MRS. JACQUELINE TOINETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
7733 FORSYTH BLVD STE 2300, SAINT LOUIS, MO 63105-1806
(618) 540-3664
(618) 346-0130
Mailing address
7733 FORSYTH BLVD STE 2300, SAINT LOUIS, MO 63105-1806
(618) 540-3664
(618) 346-0130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.011823
IL
Other
Enumeration date
11/05/2008
Last updated
04/13/2009
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